JHUCCP INFO Project - EE for Better Health

Entertainment-Education
For Better Health
Key Points
INFO Project
Center for Communication
Programs
For over 30 years entertainmenteducation (E-E) has been a tool for
changing health behavior. E-E uses
drama, music, or other communication
formats that engage the emotions to
inform audiences and change attitudes,
behavior, and social norms. Worldwide,
several hundred major projects have used
E-E to improve health.
Entertainment-education has
encouraged people to live healthier
lives. For example, E-E projects for family
planning and reproductive health have
helped motivate people to use contraception, to prevent HIV infection by having fewer sex
partners, and to use antenatal care services.
Entertainment-education dramas can persuade because they show characters who
change their behavior to improve their lives. Stories have unique power and nuance to
describe people’s behavior and interactions, and their consequences. When audience members
see that they could be in the same situation as the characters, stories can move them to change,
too. E-E is particularly able to influence behavior rooted in traditions that are hard to change.
Theories of human behavior and behavior change underlie E-E. For example, social
learning theory emphasizes how people learn by observing others. Thus the theory supports the
use of dramas with characters who model healthy behavior.
Choosing an E-E format depends on audience and budget. Mass media formats reach
people who have access to radios or televisions. Young people are a prime audience for
popular music. Theater, and especially street theater, reaches people without access to radio
or TV. Mass media projects can be costly. In contrast, a community-level activity may cost little.
Projects often use several formats or media to reach the intended audience.
Mass media formats are often cost-effective. Although expensive to produce, radio or TV
dramas have attracted audiences in the millions. They have cost very little per person reached
and US$3 or less per person influenced to adopt a healthy behavior.
To achieve high quality, E-E projects require skill and creativity but also follow
a process. As with other communication projects, the process consists of five basic
steps—research and analysis, strategic design, development and pretesting,
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implementation and monitoring, and evaluation. At the same time, effective E-E
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Audience research and participation are essential. Creating engaging
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E-E products requires thorough knowledge of the audience. As much
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January 2008 • Issue No. 17
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How to Use This Report
This issue of INFO Reports discusses three aspects of entertainment-education to improve
family planning/reproductive health and prevent HIV infection:
• How E-E works and its potential effects on knowledge, attitudes, and behavior (p. 3);
• The best uses of the various E-E formats (p. 5); and
• The important steps for managing E-E projects, within the framework of the general
process for developing communication programming (p.12).
Managers of family planning/reproductive health programs and policy makers can use this report
to become more knowledgeable advocates for E-E and better prepared to oversee E-E projects.
Also, this report can help E-E managers with choosing formats and producing E-E products. For
radio or TV dramas, a checklist includes the tasks that are the responsibility of the E-E manager.
This report accompanies Population Reports, “Communication for Better Health,” and INFO
Reports, “Tools for Behavior Change Communication.”
Why Use EntertainmentEducation?
Entertainment-education has a long history. For thousands
of years, entertaining stories have passed on wisdom
and values from generation to generation. Modern E-E
dates from the 1940s and 1950s, when radio dramas both
informed and entertained farmers and their families: The
Lawsons in Australia and The Archers in the United Kingdom motivated people to adopt agricultural innovations
(96). To improve public health, E-E has encouraged people
to exercise, eat more fruits and vegetables, and stop
smoking (15, 20, 37), as well as to adopt family planning
and avoid HIV infection. Miguel Sabido developed one of
the first dramas with a family planning theme (see p. 4).
E-E uses various forms of entertainment. Dramas on radio
and TV, animated cartoons, popular songs, street theater,
and other formats can educate and motivate as they entertain (96). In E-E there is no clear dividing line between
entertainment and education (26). The two should be
seamlessly woven together.
As a part of family planning/reproductive health programs,
E-E can help program managers meet objectives. E-E can
increase demand for services, motivate people to protect
their health, and demonstrate to providers how to improve
care. E-E can help meet these objectives in several ways:
• By showing behavior rather than just describing it.
Observing others is one way that people learn and
Photo on Cover
The crew prepares to shoot a scene in a rice paddy for the Indonesian E-E movie,
The Savannah Wind. The movie discourages the traditional practice of bride kidnapping and highlights the need for better maternal health care by depicting a woman
who dies in childbirth. The main character is a young woman who visits her home
on the remote island of Sumba after finishing medical school and decides to stay to
improve health care there. © 1997 Harvey F. Nelson, Jr.
2
This report was prepared by Esta de Fossard
and Robert Lande. Research assistance by Jenny
Bernstein, MPH, Nahyun Cho, MPH, Rose Reis,
and Madeleine Short, MPH. Ward Rinehart, Editor.
Francine Mueller and Linda Sadler, Designers.
The INFO Project appreciates the assistance of the
following reviewers:
Kriss Barker, Michael Castlen, Michael Cody, Gloria
Coe, Patrick Coleman, Connie L. Kohler, Alice Payne
Merritt, Jose G. Rimon II, Arvind Singhal, Suruchi
Sood, and Shana Yansen.
Suggested citation: de Fossard, E., and Lande, R.
“Entertainment-Education for Better Health,”
INFO Reports, No. 17. Baltimore, INFO Project,
Johns Hopkins Bloomberg School of Public
Health, January 2008.
Available online at:
http://www.infoforhealth.org/inforeports/
The INFO Project
Center for Communication Programs
Johns Hopkins Bloomberg
School of Public Health
111 Market Place, Suite 310
Baltimore, MD 21202 USA
410-659-6300
410-659-6266 (fax)
www.infoforhealth.org
infoproject@jhuccp.org
Earle Lawrence, Project Director
Vidya Setty, Senior Editor
Heather Johnson, Production Manager
INFO Reports is designed to provide an
accurate and authoritative report on important
developments in family planning and related
health issues. The opinions expressed herein
are those of the authors and do not
necessarily reflect the views of the U.S. Agency
for International Development or the Johns
Hopkins University.
Published with support from USAID, Global, GH/PRH/PEC,
under the terms of Grant No. GPH-A-00-02-00003-00.
adopt a new behavior (see p. 4). For example, a TV drama in Bangladesh, Shabuj Chhaya, showed couples discussing family planning and visiting a clinic for antenatal care (8, 30). A radio drama in Nepal for health care providers, Service Brings Reward, provided information about family planning and demonstrated good counseling skills (47).
• By addressing norms and beliefs that are deeply rooted in a society. Certain issues, such as dowry or early marriage, may be too sensitive to address in lectures. For example, in South Asia animated cartoons and comic books from the Meena Initiative portray the dangers of early marriage and early pregnancy and the advantages of allowing girls to
finish school (114).
• By attracting large audiences with an entertaining format. For example, the estimated audience for Soul City IV, a 1999 E-E campaign in South Africa to prevent domestic violence, was 16 million (115).
• By attracting audiences that are hard to reach. Young people might not come to a lecture, but they enjoy a music video. For example, in 1986
an estimated 150 million people watched the launch of the Mexican music video “Cuando Estemos Juntos” (When We Are Together), which encour aged sexual responsibility (52). In isolated villages with few televisions or radios, people gather around a single receiver to watch or listen to each new episode of a serial drama (46, 62, 93, 119).
• By offering formats to suit the scale and goals of most programs. E-E can be done on a small scale, such as puppet shows or street theater. It also can be done on a large scale—for example, through national broadcasts of radio and TV dramas or widespread distribution of photonovelas and comic books.
• By costing little per person influenced via the mass media. Radio or TV
dramas or songs can be expensive to produce, but with large audiences
the cost per person motivated to change behavior can be a few dollars
(40, 51, 74, 84).
Two popular Jordanian singers, Ahmad Rami (left) and
Qamar Badwan, perform the theme song at the launch of
the Jordan youth campaign. The campaign encouraged
young people to discuss family planning and reproductive
health with their parents and, when married, with
their spouses.
© 2001 Kevork Toranian, Courtesy of Photoshare
Despite the reach and influence of E-E on demand for services and the quality of care, E-E programs by themselves
cannot make up for all gaps in health care (67). To increase use of family planning and reproductive health services, E-E
programs need to be matched with efforts to expand services and train and equip providers.
How Can Entertainment-Education Influence Behavior?
Since the 1970s there have been several hundred major entertainment-education (E-E) projects to improve health. Most
have been TV and radio dramas in developing countries (96). Among the earliest with a family planning theme were
the TV serial drama Acompañame (Come Along With Me), broadcast in Mexico in 1977 and 1978, and the radio drama
Grains of Sand in the Sea, which began in 1977 in Indonesia and continues today (5, 94, 96).
Entertainment-Education Engages Emotions
Entertainment-education engages the emotions as well as the intellect. This helps explain its power to change behavior.
Entertainment is more than amusement. It can evoke a range of emotions. An emotional reaction often leads people to
think about themselves and their own attitudes and behavior (75). At the same time, E-E presents role models who can
show the audience how to adopt healthy behaviors.
Entertainment-education often uses story-telling. Story-telling may be the oldest form of education. It remains a powerful
way to communicate knowledge and experience (29). Stories can transmit knowledge that would be difficult to translate
into explicit statements. By portraying situations that audience members might experience, stories can show ways of handling the situations. Stories can suggest words and tone of voice, for example, for couples to talk about family planning,
and for young people to refuse requests for sex (36, 41, 68).
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Audiences identify with characters and
settings. Audiences respond emotionally to
E-E that is realistic, culturally appropriate, and
creatively produced. In a serial drama, for example, if the characters and settings are familiar
to audiences, they can identify with the situations, conflicts, and feelings of the characters
(70, 71, 100). When characters express their
feelings, or when the story itself is dramatic, the
audience responds emotionally. The audience
feels a sense of empathy, and characters come
to seem like friends (10, 70, 95, 100). When
characters face a problem that evokes emotion,
audience members who identify and empathize
with them may be motivated to solve similar
problems in their own lives in a similar way (50).
Extensive research is necessary to help writers
and artists accurately reflect the lives and culture
of the audience.
The main character of a miniseries in Pakistan suffers a complication of pregnancy. Aahat (Approaching Sound) dramatized the
effect of early and closely spaced pregnancies motivated by a
mother-in-law’s wish for a grandson. Two celebrities played the
leading roles, Sania Saeed as the wife and Salman Ahmad as
her husband. In E-E, evoking emotion is central to engaging the
audience and changing behavior.
© 1991 CCP, Courtesy of Photoshare
The audience’s emotional responses depend on
the different characters. Dramas typically include
character types that are familiar in a particular society, for example, a couple struggling to take care
of their children, or a truck driver with several sex partners (11, 109). Some dramas have attracted
large audiences in several cultures because they present characters and themes that are universally recognizable (101, 111). For example, broadcasters in Australia, Belgium, Brazil, Saudi Arabia,
and 24 other countries aired the Japanese serial drama, Oshin, which taught lessons of love, sacrifice, endurance, and forgiveness (111).
Many E-E dramas portray positive, negative, and transitional role models. This scheme
developed from drama theory and from the work of Albert Bandura, the social psychologist who
made major contributions to social learning theory, and Miguel Sabido, a Mexican television executive who pioneered E-E dramas (6, 77, 89). Largely positive characters model healthy values
and behavior, and they are rewarded. Largely negative characters model unhealthy behavior and
antisocial values, and they suffer as a result. Transitional characters, representing the audience,
are uncertain at first about which behavior to adopt. Then, gradually, they become convinced. They
begin to practice the healthy behavior, and they are rewarded (see also the case study on page 6 of
the companion issue of Population Reports “Communication for Better Health”).
Minor characters, sometimes called satellite characters, also may go through a transition. The main
characters talk to minor characters, who then change along with the main characters. Thus the
audience watches several characters, rather than just one, making decisions that improve their
lives (21).
“The characters played in the show reflect the real
life situation. I listened to a character that reveals
harmful practices. Later, when I discussed some
characters of the show with my friends, we got many
useful things that can help us for our future life.”
Some dramas portray characters whose behavior is not predictably rewarded or punished. Sexto Sentido, the Nicaraguan TV
drama series for young people produced by Puntos de Encuentro,
deals with issues such as rape, domestic violence, homosexuality, and HIV infection. By portraying realistic characters with whom
A listener to Journey of Life, a radio drama in Ethiopia (43)
young people can identify, the series encourages young people
to talk about these issues and reach a deeper understanding of society and the complex, uneven
process of social change (54, 69).
Theories Link Entertainment-Education and Motivation
Seeing how the characters in a drama solve problems can give audiences the sense that they, too,
can control their lives and solve these problems. This sense of being in control and able to solve
problems is called self-efficacy. Observing the success of others and trying new behavior and succeeding can lead to self-efficacy. Thus audiences come to believe in their own ability to change and
to succeed like the characters in a story. People believe in their own individual ability to change,
4
and the community as a whole can come
to believe in its collective ability to change.
Bandura’s social learning theory explains
how, by observing others, people can
learn, be motivated to change, and believe
that they have the ability to change (6).
For example, in Tanzania the radio drama
Twende na Wakati created the sense
among many listeners that they could control the size of their families (86). Married
women who felt they had this control were
more likely to use a family planning method
than women who did not (11).
Other theories also help to explain the
power of E-E. Social influence theory, also
known as the theory of the two-step flow
of communication, highlights the influence
of interpersonal communication on behavior change (48, 56). Audience members
may discuss an E-E drama with people
who have not seen it—for example, close
friends and family members. Such discussions can motivate these people to change
behavior even if they have not seen the
drama. In Nepal such indirect exposure to
a radio serial drama influenced contraceptive use as strongly as directly listening to
the drama (14).
The Advantages of EntertainmentEducation: The Nine Ps
Pervasive: Entertainment is everywhere.
Popular: People like entertainment.
Personal: Audiences identify with the characters.
Participatory: Audiences have a role in the development
of E-E and respond to E-E programs.
Passionate: E-E appeals to emotions.
Persuasive: Audience members imitate the role models in
E-E programs.
Practical: Media already exist, and performers want to participate in interesting programs.
Profitable: E-E attracts sponsors and can advance the career of producers, writers, and performers.
Proven effective: E-E can increase knowledge, change
attitudes, and move people to action (75).
The MARCH approach (Modeling and
Reinforcement to Combat HIV), formulated by the U.S. Centers for Disease Control and Prevention, explicitly combines
E-E with activities to stimulate interpersonal communication. For the E-E component, projects have used serial dramas.
For interpersonal communication community members may distribute flyers to their neighbors. As they do, they discuss
and repeat the messages in the drama (35). Also, in many countries formal listener groups have provided a forum for
discussing the lessons in E-E broadcast in the mass media (104) (see also p. 13).
Social norms govern both group and individual behavior. Dialogue about the contents of E-E programming, especially in
community groups, can make people reconsider social norms. This can generate collective self-efficacy and collective
action to change traditional practices such as demand for dowry, child marriage, and tolerance of wife-beating (7, 70, 92,
94, 115). The ability of E-E to encourage community dialogue goes beyond
conveying information and messages. It makes the audience participants in
Watching how the characters in a drama
the development of their own communities and empowers them to start the
solve problems can give audiences the sense
process of social change (108, 113).
that they, too, can control their
lives and solve these problems.
The theory of Diffusion of Innovation also addresses change in social norms.
It focuses on how a critical mass of people must adopt a behavior for it to
become the new social norm (85). E-E can help to achieve this critical mass when it reaches large audiences. Many audience members then discuss the programs and the recommended changes among themselves and with others. E-E also
can depict the process of social change itself, presenting characters who are slow or quick to adopt a new behavior and
characters in between, who are cautious and need convincing.
From Drama to Games: A Range of E-E Formats
Selecting program formats is one of the important steps in the design of an entertainment-education (E-E) project. The
choice depends mainly on the audience and on the objectives and budget of the communication program. Programs often
use several formats in a multimedia campaign. Program managers can choose from a variety of formats.
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Dramas in the mass media. Dramas can be presented as series or serials. In the broadcast media
dramas are an effective and cost-effective way to reach large audiences (see p. 11 and Web
Table 1: www.infoforhealth.org/inforeports/E-E/webtable1.shtml).
A serial drama, or soap opera, is a continuing story, usually presented on radio or TV once a week
for 6 to 12 months or more. A shorter version, the miniseries, generally comprises four to six
episodes (58, 80).
The serial drama has several advantages. The continuing story allows for the creation of a lifelike
social context and characters who change slowly and face successes and setbacks as in real life.
Audiences have time to get to know the characters and identify with them. With a main plot and
several subplots, the serial drama can explore issues in-depth and from the perspective of several
characters (73, 92). Each subplot can present a story for a specific audience.
In contrast to the serial, the drama series presents a new and complete story in each episode.
Many of the same main characters appear in every episode, however. Having a new story for each
episode suits audience members who could not watch or listen to every episode in a drama serial
(93). In the drama series what attracts and holds the audience are the characters, their different
personalities, and how they interact in various situations. As audience members get to know and
empathize with the characters, they enjoy anticipating how each character will respond to a new
situation or a new lesson.
For example, since 1997 the NGO Minga Peru has produced Bienvenida Salud (Welcome Health),
a variety show that includes a drama series. Local radio stations in the Peruvian Amazon broadcast
the 30-minute show three times a week. The main characters of the drama
are a young woman and her mother-in-law, who often get into arguments.
The continuing story allows for the
Episodes deal with family planning, sexually transmitted infections, matercreation of a lifelike social context and
nal health, early marriage, education for girls, and domestic violence. At
characters who change slowly and face
least 25,000 people listen to the show each week (34, 62, 93, 112).
successes and setbacks as in real life.
Because each episode can deal with a different topic, the drama series
has been used for distance education of health care providers. For example, various episodes of a distance education drama series started in 2001 for community health
workers in Zambia have covered HIV prevention and transmission, immunization, clean water,
and community mobilization. A continuing mystery in the personal life of the main character, Sister
Evelina, provided suspense to keep the audience coming back for the next episode (17, 44).
Public service announcements (PSAs) or advertising spots are a common and versatile form
of E-E. Generally a few minutes or less in length, they can inform audiences, show a benefit of behavior change, correct misinformation, or expose a social ill (2, 19). For example, the international
nongovernmental organization Breakthrough produces TV and radio spots for a campaign in India
called “Is this justice?” The campaign is designed to bring social change by exposing the cruelty of
stigmatizing women whose husbands gave them HIV. In one 60-second spot a man parking his car
bumps into some parked motorcycles and then slaps his wife. The voice-over points out that blaming women because they have HIV is like blaming a woman for her husband’s poor driving (16).
The situation comedy, or sit-com, relies heavily on the foolish or exaggerated behavior of several
leading characters to engage the audience. Like the drama series, the sit-com is a set of separate
episodes that can each highlight a new health topic. It is difficult to present serious subjects in a
comic environment, however. Therefore, comedy must be used with great care in E-E. For example, in The 9th Circle, a Jordanian sit-com set in a restaurant, the comic characters are restaurant
employees who are not involved in delivering information about family planning. Instead, the customers of the restaurant—for example, young adults, newlyweds, and older people—explain and
promote the health benefits of family planning.
Feature films in Bangladesh, India, Mexico, Turkey, and other countries have explored themes of
family planning or gender equality. Films can be shown on TV and in cinemas and recorded on
videotape (19). For example, in Turkey the 90-minute film Berdel, produced by the Family Health
and Planning Foundation, was shown on TV three times in 1992. It portrayed the consequences of
son preference and unequal treatment of daughters as part of a multimedia campaign to promote
6
family planning. Sixty percent of people surveyed in 14 provinces said that they had seen Berdel. Turkey’s two most popular film stars played the main characters, and the film won several international film awards (121, 122).
Popular music and music videos by well-known performers can attract young people’s attention to messages of sexual
responsibility and make the messages appealing. Among the first E-E songs and music videos were “Cuando Estemos
Juntos” (When We Are Together) and “Detente” (Wait) by Tatiana and Johnny, two
of the most popular singers in Mexico in the 1980s. The songs encouraged young
people to wait before having sex, getting married, or becoming pregnant. Both songs
were hits in Mexico and other Latin American countries (52). A similar project in the
Philippines in the late 1980s featured the popular singer Lea Salonga and the group
Menudo (83).
Some organizations reach young people in school with dances and songs about
reproductive health and HIV. Examples are the Ashe Caribbean Performing Arts
Ensemble and Dance4Life, which works in schools mainly in Africa and Europe
(1, 32). Young people also perform their own songs. For example, in Rio de Janeiro
in 1999–2000, young peer educators in the Guy-to-Guy Project wrote a rap song,
“United for Peace” and sang it after performing their play, Cool your head, man. The
song and play encouraged young men to stop being violent with each other and with
young women (9).
The Ashe Caribbean Performing Arts Ensemble
uses dance and song to teach young people
about sexuality, reproductive health, and HIV
prevention. Its EIC method Excites young
people with performances of music and dance,
Involves them in arts training, and encourages
a Commitment to making healthy choices.
© 2007 Ashe Caribbean Performing Arts
Ensemble
Reality programming, also called “actuality” programming, presents everyday people,
rather than actors, telling their own true stories. They speak in testimonials, interviews,
diaries, or talk shows primarily on the radio. (Reality programming for E-E differs from
“reality programming” on American and British television, where everyday people
are put into artificial situations.) For example, a 2004–2005 project in Malawi trained
people with AIDS to produce radio diaries each week about an important event or
issue in their lives. The diarists talked about relationships with partners, family, friends,
and their communities; about medical issues and the attitudes of health care providers; and about emotional stress (42).
Magazine or variety programs comprise a number of segments or formats, which the hosts weave together into a single
presentation for broadcast or on stage. The format is designed to appeal
to a wide range of listeners or viewers. The “magazine” format allows
the educational content to be repeated in several segments of a single
In areas without access to mass media,
program. For example, a radio variety show from 2000 to 2003 in Ghana,
mobile film units have brought variety
part of the Linkages Project, promoted breastfeeding with songs, drashows about family planning, child
mas, comedies, call-in segments, quizzes, and discussions with nutrition
survival, and HIV prevention to
experts. The project also included training of health care providers and
thousands of people.
community members, and community activities (81).
In areas without access to mass media, mobile film units have brought
variety shows about family planning, child survival, and HIV prevention
to thousands of people. In Bangladesh, for example, such units show
informational films, dramas, testimonials by local leaders, and product
advertising. They also show feature films, music videos, and news and
sports clips for pure entertainment (79). In India the Community Media
Initiative used a video van to show episodes of Jasoos Vijay, a TV
detective drama with a theme of HIV prevention. Thanks to the video
van, people in 1,200 towns in Uttar Pradesh saw the episodes and
participated in discussions and interactive games that accompanied
the shows (105).
Theater and street theater are performed live, usually in a central
community location. Theater can quickly and powerfully draw people’s
attention to an important health topic such as family planning, female
genital cutting, violence against women, or HIV prevention (3, 9, 24,
38, 45, 64, 117). People without access to radio or TV can watch.
For example, in Bolivia, Teatro Trono enlists street children to perform plays for street children about drugs, self esteem, leadership,
and gender equity (38). A street theater production can be performed
7
The Nrityanjali Academy presents street theater as part of an
AIDS awareness program in Andhra Pradesh, India. Using
a mobile van as a stage, the drama group gives condom
demonstrations and performances about HIV/AIDS, STIs, and
their prevention and treatment. © 2003 Nrityanjali Academy,
Courtesy of Photoshare
in many locations. For example, in Lima, Peru, a play to correct misinformation about contraceptives, Ms. Rumors, was performed about 200 times from 1991 to 1994 in parks and squares and
for people waiting at hospitals and clinics. In all, about 61,000 people saw the play (117). As a play
is repeated in different places, it can be adapted to address local concerns (61, 65). Folk media,
performed by community members, often combine theater and music (98).
Forum theater or interactive theater is a version of street theater. Like radio or TV dramas, street
theater leads to discussion among audience members. Forum theater encourages and facilitates
this. The cast invites the audience to participate in the drama,
exploring the problems raised and the possible solutions (65).
Puppets can depict sensitive or
Forum theater is a type of “Theater of the Oppressed,”
controversial situations because
Augusto Boal’s concept of using theater to motivate social
they are an illusion rather
change (13). For example, Nalamdana, a street theater troupe
than seeming to be real people.
in Tamil Nadu, India, performs dramas about HIV/AIDS,
maternal and child health, children’s rights, suicide prevention,
cancer, and women’s empowerment. The troupe typically
performs in a village square or an urban slum. As many as 1,000 people attend, and the
performance is interactive. After the performances, actors—who are trained in HIV counseling—
discuss the educational content with audience members (38, 91).
Puppetry is a special form of street theater and has addressed themes of maternal
and child health, family planning, and HIV prevention (3, 25). Puppets can depict
sensitive or controversial situations because they are an illusion rather than seeming
to be real people. The audience can understand their message without being
offended (53).
Through comic books and animated
cartoons, Meena has influenced parents
and become a role model for girls in
South Asia. Girls in Nepal say that,
because of comic books such as this
one, they can attend school regularly.
© 2002 UNICEF
Animated cartoons, comic books or graphic novels, and photonovelas can be
used on their own or to support a broadcast drama or another E-E format (88). For
example, animated cartoons in South Asia featuring a smart young girl, Meena,
promote equal treatment of girls in education, and access to health services, and
protection from early marriage and pregnancy. The carefully researched Meena
stories have motivated parents in South Asia to treat their daughters and sons equally
(57, 61). Children surveyed in Nepal said that because of Meena boys treat their
sisters equally (18). Schools in South Asia use Meena comic books and story books
(90). The government literature
“Since I saw the film [Meena] I have become very
exam for grade 10 in Bangladesh
conscious when I serve food to my daughter.”
includes a question about
A woman in Dhaka, Bangladesh (61)
Meena (60).
Internet and mobile phone programming. The Internet and mobile phones can carry entertaining
programming with health messages. For example, in India ZMQ Software Systems develops games
for mobile phones to inform young people about HIV and AIDS. One game simulates a football
(soccer) match. It provides information about HIV and AIDS when a player scores or prevents a
goal (82). The Woodrow Wilson International Center for Scholars in the United States sponsors
Games for Health (http://www.gamesforhealth.org/about2.html). This project brings together researchers, game experts, and users to promote games as a way of improving health care. The project also collects best practices and conducts contests for developers of health care games (120).
Over 15, 000 images generously shared by
individuals and organizations worldwide.
Free for Nonprofit Educational Use
© 2006 Samuel De Leon, Courtesy of Photoshare
Family Planning and Reproductive Health
HIV/AIDS
Maternal and Child Health
Environment
Humanitarian Assistance
Democracy and Governance
Agriculture and Economic Development
www.photoshare.org
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Budgeting for Entertainment-Education
Typical items in an E-E budget include research, monitoring and evaluation, production of print or broadcast materials, transportation, rent for filming locations, and administrative costs (see the budgeting tool in the companion INFO Reports issue,
“Tools for Behavior Change Communication”). Research and evaluation typically account for about 10% of budgets (96).
Budgets for several radio and television E-E products are shown in Table 1. Comparisons should be made with care because
included costs differ from project to project. One study assembled a comprehensive set of costs to calculate the cost–
effectiveness of HIV/AIDS TV programming in India in 2002-2003. The analysis included all production costs, such as fees for
equipment and costumes, and administrative costs, such as food, travel, and overhead (102).
Table 1. Budgets for Radio and Television E-E Formats
Country/Project/Year
Episodes/Length/Frequency
Budget (US$)
Radio drama alone
Albania
Rruga MePisha (Pine Street)
1999-2001 (66)
• 15-minute episodes
• 2 episodes per week
• $120,000 per year
• 30% for audience research
• Airtime given free
Kenya
Tembea na Majira
(Move With the Times)
1996-2001 (66)
• 15-minute episodes
• 1 episode per week
• $75,400 per year
• Includes fieldwork, expert consultations, actors,
production, and airtime
Tanzania
Twende na Wakati
(Let’s Go With the Times)
1993-2001 (66)
• 30-minute episodes
• 2 episodes per week
• $150,000 per year
• 30-minute episodes and farmer’s radio magazine
• 2 episodes per week
• Supporting activities included theater performances,
comic books, cassettes of stories and songs, and a
cartoon strip in the national newspaper
• 15-minute episodes and 15-minute radio magazine
• 2 episodes per week
• $400,000 per year
• Includes research, monitoring, and evaluation
• 1-hour shows, including 20-minute radio drama,
Lotus on Muddy Lake
• 3 shows per week
• $260,000 per year
• Includes training workshops, audience
research, expatriate salaries, and administrative fee for technical assistance
• 10-minute episodes
• 3 episodes per week (1 complete story every 4
weeks)
• $2.2 million
• Includes all production and administrative costsa
India (North)
Haath se Haath Mila
(Let’s Join Hands)
July 2002-May 2003 (31, 102)
TV spots
• 30-minute shows
• 1 show per week
• $1.1 million
• Includes all production and administrative costsa
India (North)
National AIDS Control Program
July 2002-May 2003 (102)
• 19 1-minute spots
• $1.1 million
• Includes all production and administrative costsa
Philippines
August-December 2000 (51)
• 4 30-second spots
• $546,720
• Includes concept, design, pretesting, production,
and broadcasting
Radio drama & other components
Malawi
Zimachitika (Such Is Life)
1997-2001 (66)
Rwanda
Urunana (Hand in Hand)
1999-2001 (66)
• $247,000 per year
Radio magazine
Cambodia
Especially for You, Young People
1999-2001 (66)
TV drama alone
India (North)
Jasoos Vijay (Detective Vijay)
July 2002-May 2003 (102)
TV reality show
a
Calculated for an analysis of cost-effectiveness. Includes all production costs such as fees for a camera, actors, costumes, transportation, scriptwriters, producers, directors, and editors. Management costs include salaries for expatriate staff and consultants, food, lodging, travel, research, publicity, office rent, and a 15% overhead fee.
9
Entertainment-Education Has Impact
E-E has influenced people’s behavior concerning family planning, reproductive health, and HIV
prevention. E-E has helped to motivate contraceptive use and visits to maternal and child health
clinics (10, 30, 40, 118). For HIV prevention, E-E projects have motivated people to have fewer sex
partners, to be tested for HIV, and to adopt a caring attitude toward people with HIV or AIDS (11,
43, 49, 102).
Analyses of behavior change communication (BCC) projects indicate how E-E projects can influence people. One meta-analysis assessed 39 family planning communication programs in developing countries conducted between 1986 and 2001 (99). Over half of the programs included E-E
components such as music, theater, and radio and TV dramas. Among the indicators of impact, the
programs had the strongest effect on knowledge of family planning methods. They influenced attitudes, including approval of family planning and intention to use family planning. The programs also
influenced behavior such as communication with partners and use of family planning. (For more
details on this study, see the companion Population Reports, “Communication for Better Health.”)
“We have benefited a lot from the education through
your program. Indeed, me and my husband are now
actively participating in the use of family planning
methods, and we see its advantages.”
Letter in response to Twende na Wakati, a radio drama
in Tanzania (94)
A systematic review of 24 HIV/AIDS communication programs
included 16 projects with E-E components (12). These components
included TV and radio dramas, film, a drama broadcast over village
loudspeakers, theater, and comic books. The review reported the
most consistent effects on knowledge of modes of HIV transmission
and decreases in high-risk sexual behaviors, such as reducing the
numbers of sexual partners and contacts with commercial sex workers. The review reported mixed
results and weak effects on other indicators, such as understanding one’s risk of HIV infection, talking to others about AIDS or condoms, and condom use.
Evaluations find that many different E-E formats have influenced knowledge, attitudes, and behavior related to family planning and reproductive health, including HIV/AIDS.
• TV drama—In South Africa the weekly drama Tsha Tsha addressed HIV prevention, HIV testing, and stigma. In one story line a young woman finds that she has HIV and struggles to tell her friends and family and to adopt a positive attitude. The first 26 episodes in
2003-2004 had an audience of about 1.8 million. An evaluation compared viewers with
good recall of the drama and a matched group with low or no recall or exposure. The
good-recall group reported significantly more HIV-prevention practices such as absti-
nence, monogamy, less frequent sex, and condom use (39, 49).
• Radio drama—Since 1993 Twende na Wakati in Tanzania has modeled good and bad
behaviors for family planning and HIV prevention. For example, a couple discusses family
planning and then chooses a method, and a promiscuous truck driver does not use
condoms and becomes infected with HIV. About 40% of new family planning users at government clinics said that they came because of the drama. Twelve percent of listeners
adopted a behavior to prevent HIV infection, compared with 1% in a comparison area (11, 86, 94, 118). (For more details on the impact of TV and radio dramas, see Web Table 1, www.infoforhealth.org/inforeports/E-E/webtable1.shtml)
• TV spots—In 2000 four TV spots broadcast nationally in the Philippines portrayed a
couple with two children discussing the benefits of family planning. From national surveys
indicating contraceptive use and recall of the spots, researchers estimated that
nearly 350,000 women started using a contraceptive as a result of the spots (51).
• Popular music—In Mexico “Cuando Estemos Juntos” and “Detente” were memorable and motivating. When interviewed, young people correctly identified the message of sexual responsibility in the songs. Many had discussed the message with friends and family
members (52). In fact, years after the songs were hits, many people still remembered them and the messages (19, 75).
(Continued on p. 14)
10
Investing in Mass Media: Getting
the Most for the Money
Entertainment-education in the mass media can be expensive.
For example, Jasoos Vijay, the TV drama broadcast in north
India from 2002 to 2003, cost about US$2.2 million (102). To
get the most for an investment in mass media, E-E programs
have reached large audiences, and they have found ways to reuse
products and further expand audiences. Working with communities to produce E-E projects on local radio stations is a way
to decrease costs. Some projects have attracted advertising or
commercial sponsorship.
Radio Ixil in Guatemala produced and broadcast a talk show
and drama in 2007 for Mayan communities in the Ixil region.
The drama encourages better agricultural techniques to improve
nutrition and maternal and child health, and it also addresses
domestic violence. Communities can develop low-cost E-E
formats. © 2007 PCI-Media Impact
With large audiences, the cost per viewer is small. In north India
6.7 million people saw Jasoos Vijay, and an estimated 872,000
were motivated to increase condom use. The cost per viewer was
US$0.33, and the cost per person increasing condom use was
US$2.49 (102). In other mass media E-E projects, too, the cost
per person influenced has been about US$3 or less (11, 40, 51,
74, 84).
volunteer work amount to 20% to 80% of project costs. Under
this initiative communities in Guatemala, Honduras, Mexico,
and Peru have developed radio dramas to discourage pregnancy
and prevent STIs/HIV infection among young people (72).
Advertising Covers Some
Costs of E-E Projects
The large audiences for mass media entertainment-education
have attracted commercial advertising. Food, candy, and soft
drink manufacturers, cosmetics, oil, and financial services
companies, and others have advertised on or sponsored E-E
music projects, radio or TV dramas, and variety shows about
family planning and reproductive health (22, 66, 76, 77, 79,
83). Advertising fees or business sponsorship for production or
broadcast expenses have covered some costs, and broadcasters
have offered free airtime. Still, most projects need some donor
funding (66).
E-E products have attracted substantial advertising in countries
with a strong economic base and people with enough money to
buy the advertised products (66). For example, in Kenya advertisers support the radio drama Tembea na Majira (Move With
the Times) and an accompanying magazine-style radio program.
The drama started in 1996 to provide agricultural information
and has since included story lines about domestic violence,
female genital cutting, and HIV/AIDS. Initially, the UK Department for International Development (DFID) provided support.
Now advertisers such as Cadbury and Colgate cover most of the
costs. Cadbury, for example, is mentioned before, during, and
after the drama or magazine show. Also, Cadbury uses characters
and themes from the drama in its own advertising (63, 66).
Advertising on E-E dramas has increased sales for some companies. In Tanzania, for example, a mattress company, Ply Foam
(Tanzania) Ltd., advertised on the E-E radio drama Twende na
Wakati when the show started in 1993. The company stopped
advertising after two years, however, because it could not meet
the demand for mattresses created by the advertisements on the
popular drama (66). In India in 1984 the TV drama Hum Log
(We People) was the first Indian TV program to accept advertising. Hum Log promoted family harmony, gender equity, and
family planning. Each 30-minute broadcast included 22 minutes
of the drama and 8 minutes of commercials. The advertising
Programs reuse or reproduce mass-media E-E materials to get
the most for the initial high expenditure. For example, radio or
TV E-E dramas in several countries have been so popular that
they were rebroadcast (75). Some editing may be necessary, however, if programs are rebroadcast in communities with different customs or norms. Folk theater can be taped for broadcast Entertainment-education products have attracted substantial advertising in countries with a strong economic base and
on radio or TV, and TV series have been edited into a single
people with enough money to buy the advertised products.
show and shown from video vans (91, 105). A theater group
in Tanzania, however, found that using videos of performances
paid the US$6,000–$12,000 cost of producing each episode—
to increase the audience was too costly (59). Plays and TV series
one of the rare examples where advertising fees covered all E-E
can be recorded digitally and saved on CD-ROM or made availproduction costs. Seeing increases in sales, advertisers came
able on the World Wide Web.
forward to sponsor other TV shows (23).
Starting small can help to hold down costs. For example, the
E-E products need to be well-done to compete with pure enterorganization PCI-Media Impact trains members of community
tainment for advertising. Also, the producing organization needs
organizations to write and produce radio dramas in its “My
to maintain relationships with potential advertisers. Pursuing
Community” initiative. Communities then draft proposals for a
advertising takes time and energy (66, 76). Managers need to
radio project and compete for grants of up to US$15,000 from
choose advertisers carefully, however, to avoid conflicts with E-E
PCI. For the selected projects, PCI arranges technical assistance
content. Advertisers should not expect to control the E-E conto produce the drama, to broadcast it on a local radio station,
and to evaluate results. Communities’ in-kind contributions and tent, and the advertising should not contradict the content.
11
An Approach to Managing Production
by Esta de Fossard*
To be effective, entertainment-education (E-E)
should reflect the highest artistic quality. At the same
time, it should rely on careful audience research
and theories of behavior change. Where the E-E
approach is new, specialists usually will be needed
to train writers, artists, producers, and actors and
perhaps provide ongoing guidance. In time, as they
gain experience, all segments of the local communication industry can
To be effective, entertainment- develop expertise
education should reflect the
and contribute to E-E
highest artistic quality.
programming.
Most E-E programs follow the same general process
for behavior change communication programs
(described in detail in the accompanying issue of
Population Reports, “Communication for Better
Health”). In this discussion the focus is on aspects of
the process that are specific to E-E. There are many
approaches to producing E-E. Organizations vary in
the emphasis they give to audience research or to
community involvement, for example. The approach
described here has created effective radio and TV
dramas in countries throughout the world.
The E-E Manager Guides the Process
• Ensuring community support. The E-E manager determines the type of community support that will best help the program and the community. A good start is to invite community representatives to the design workshop, where they can both contribute
to the program and learn how E-E programs are produced. Community representatives can help to define the values to be promoted in a drama and help create the plot and characters. Com munity health or development workers—who encourage community members to watch or listen to the programs and who may lead group discus sions—should participate also, so that they under-
stand the purpose of the drama (27).
• Choosing an appropriate production company. A production company must be able to show suc cess in the media and formats chosen for E-E. If the format is serial drama, for example, prior work with radio or TV newscasts or documentaries is not enough. Experience with drama is essential. If no
production company has experience with E-E, then a consultant can be hired to provide training. The production company must guarantee that the edu cational content in the drama is not altered in any way without the E-E manager’s approval.
Typically, every E-E program requires a manager
who has experience with E-E and understands its
requirements and challenges. An assistant can help
with scheduling and meeting deadlines. The majority, if not all, of the other personnel on the project
are usually contracted as needed. The choice of E-E
format largely dictates the staffing needs.
• Choosing broadcast outlets that have broad reach and that most of the intended audience
listens to or watches. The outlet must also be
appropriate for a serious drama. The outlet should be reliable about presenting the E-E programming regularly at the right time for the audience.
Tasks for the E-E manager include:
• Hiring creative writers with knowledge and experience in E-E writing. Writers can be hired directly by the organization initiating the behavior change project, or they can be subcontracted by the production company. In either case, it is
essential that the writers have experience or at least training in writing for E-E. In some cases, inexperienced writers have been able to create successful E-E projects with some guidance from project management. In general, however, if no experienced E-E writers are available, a consultant should be hired to provide training. Writers whose experience is with strictly entertainment formats are accustomed to artistic freedom. E-E writers,
however, must be willing to follow the design team’s decisions about the educational con tent. They must be willing and able to convey the educational content through the plot, dialogue, and
character development. Because of the competi tion from other radio or TV shows, some of which may also present health information, the drama must be of high quality to get and hold the audi ence’s attention.
• Holding an educational design or content harmonization workshop. Here participants decide on the format, educational content, values
to be promoted, and the schedule. These deci sions are recorded in a design document. The workshop participants typically include special ists in the educational content of the E-E program, members of the audience, the manager of the larger project that the E-E program supports, and researchers. Representatives of government min istries may participate if the ministries are involved or if ministry approval of the programs is required. On the creative side, participants include produ-
cers and writers, and artists for comic books,
graphic novels, or other print materials. Represen-
tatives of funding agencies also may attend to en-
sure that the design of the project fits the budget.
The workshop participants comprise the design team for the project. The person leading the work shop, usually a trained behavior change workshop facilitator, should be highly experienced in commu nication for behavior change and social change.
* Esta de Fossard has been a consultant on E-E campaigns in dozens of countries in Asia, Africa, and Latin America. She has written three books on creating E-E dramas for radio and television (26, 27, 28). Drama serves as her main example here.
12
Among the mistakes that inexperienced writers can make are: Presenting so many messages that audiences become
overwhelmed; placing too much emphasis on the educational content and too little on the entertainment; and making the messages too obvious or artificial, instead
of weaving them into the story and character development naturally and gradually. While work on an E-E drama can—and often does—advance a writer’s career, E-E
writers should acknowledge that the programs they are creating are more important than their personal fame.
reading the scripts to audience members. Typically, audience
members are asked if they:
• Consider the program relevant to their lives.
• Understand the language and appreciate the story
(or other format).
• Find the story (or other format) and the characters
appealing.
• Recognize the educational content in the programs.
• Consider the educational content important and relevant.
• Scheduling all aspects of the E-E project. Production of
a TV drama involves the most complex scheduling of any format. In its proposal the production company should include a schedule for all steps, including finding locations for scenes (see the checklist, p.15).
• Consider the role models to be trustworthy.
They may also be asked what changes they might make in
their lives because of the drama (26, 28).
• Monitoring quality and accuracy. A review panel chosen by the E-E manager reviews scripts and print materials both for their artistic quality and for the accuracy of the educa tional content. The review panel should include a topic
specialist, an E-E drama specialist, an audience repre sentative and—where necessary—a representative of the appropriate government ministry. All panel members must have attended the design workshop. Also, the E-E manager
appoints a “message monitor” to make sure that the edu cational content is accurate and consistent. The message monitor attends the design workshop and every recording or filming session and reads every publication carefully to ensure that the educational content is correct. The monitor ing criteria can be remembered with a formula (see p.14).
A listener group in Nepal hears an E-E radio program.
Listening together creates opportunities for discussion and
can generate collective behavior change. Listener groups
also help program managers monitor dramas and make
changes to increase effectiveness.
© 2005 Saroj Nepal/CCP, Courtesy of Photoshare
The Audience Is Involved
E-E programming requires that the audience be involved.
Members of the intended audience play a key role in preliminary formative
Members of the intended audience
research, pretestplay a key role in preliminary
ing, monitoring, and
formative research, pretesting,
evaluation. As noted
monitoring, and evaluation.
above, in the educational design workshop, audience members help to choose
formats and determine educational content.
Research leads to knowledge about the audience. Behavior change communication requires thorough understanding
of the audience from the start. This is as true for E-E as for
any other health communication activity. Especially important
is understanding the audience’s current knowledge and behavior concerning the health topic. Their interests, education,
and patterns of media use also are important. Therefore, E-E
projects begin with formative research, best carried out by a
professional research team.
Pretesting materials with the audience ensures that
they are appropriate. No matter how carefully prepared,
E-E materials always must be pretested with representative
members of the audience. For example, it is usual to pretest
three episodes of a serial drama to ensure that the audience
identifies with the characters and understands the themes. To
save money and time with TV shows, pretests can be done
with only audio recordings of the episodes or with actors
13
Audience feedback keeps E-E dramas on course and can
increase impact. Wherever possible, E-E programs should
collect audience responses while the programs are being
broadcast. Such monitoring helps ensure that the audience
continues to find the material attractive and to understand
the educational content. Audience responses can be solicited
or unsolicited. One simple way to get direct feedback to a
radio or TV program is to ask listeners for comments. In an
epilogue at the end of each episode, a host can review the
educational content of the show and/or ask for comments or
the answers to quiz questions. The answers can come in via
mail or e-mail, text messages on mobile phones, a telephone
hotline, or on an internet site with a blog. In some remote
areas listeners can drop off answers or comments at the local
health clinic, where a project representative picks them up.
Comments from the audience are extremely helpful. They
reflect what the audience learned, how audience members
have changed behavior, and with what consequences (55,
103). Scripts for upcoming episodes can be modified as a
result. Fan mail also provides ideas for future episodes (94).
Many E-E programs have inspired their audiences to write
thousands of letters (10, 55, 70, 94, 109, 112 ).
(5E x Q) + (7C x A)
The Formula for Effective Entertainment-Education
The formula (5E x Q) + (7C x A) summarizes the important elements of
entertainment-education. The 5 Es describe entertainment. Entertainment
must: appeal to the emotions, inspire empathy, provide an example of the
recommended behavior, persuade the audience that they can carry out the
recommended behavior (self-efficacy), and leave them with a sense that
the new behavior will enhance their lives. The Q stands for consistently high
quality, which will multiply the impact of the 5 Es. The expression 7C x A
represents the characteristics of the educational content: correct, complete,
consistent, compelling, clear, concise, and culturally appropriate. The A
stands for accountability: Project staff must realize that they are accountable
for what happens to people if they follow the advice of the E-E program (26).
• Variety shows—The radio variety show in Ghana (see p. 7) helped to increase signifi cantly the percentage of infants breastfed within one hour of birth from 32% to as high as 62% in project areas. The percentage of infants exclusively breastfed to six months of age increased significantly, as well, from 68% to 79% (81).
• Street theater—An evaluation of performances by Nalamdana in 1996 found signifi cantly increased knowledge about HIV and AIDS and reduced misconceptions among surveyed members of the audience. The performances were especially informative for
people with little or no formal education. The performances also changed attitudes of
audience members toward people with AIDS. Before the performances 29% said they would shun people with AIDS, 8% said they would turn them over to the police, and
18% said they would treat them the same as other people. After the performances 10%
said they would shun, none said they would involve the police, and 50% said they would
treat people with AIDS the same as others (116).
• Reality programming—Since 1999 the program Arab Women Speak Out (AWSO) has used video recordings and case histories of successful women as the centerpiece of
empowerment workshops in Egypt, Jordan, Lebanon, Palestine, Tunisia, and Yemen. In Egypt, Jordan, and Yemen, participants were significantly more likely than nonpartici pants to know where to find health information and to have helped improve community health care. Also, 83% of participants said they make family decisions, compared with 60% of nonparticipants (78).
Like all effective BCC programs, effective E-E projects need to choose formats and communication
channels that reach and motivate the audience. Thirteen characteristics of effective BCC programs
can be found on page 10 of the companion issue of Population Reports, “Communication for
Better Health.”
********************
Modern entertainment-education applies a tradition shared by cultures worldwide. People delight in
a good story or song that teaches them something—for example, a parable teaching ethical behavior or a folksong challenging injustice. Such entertainment-education has passed important lessons
from generation to generation for hundreds or even thousands of years: think ahead, be prepared,
treat others as you want to be treated. The media have grown in sophistication and reach, but these
lessons are still communicated today through entertainment to improve family planning and reproductive health.
14
15
Research and evaluation team selected; contracts
prepared, approved, and signed.
Production companies invited to submit proposals.
Production company selected; contract prepared,
approved, and signed.
Writer(s)’ contract(s) prepared, approved, and signed.
Actors’ contracts prepared, approved, and signed (if
contracted separately from production company).
q
q
q
q
q
q
q
q
q
Adapted from de Fossard and Riber, 2005 (28)
See the budget tool in the companion INFO Reports, “Tools for
Behavior Change Communication.”
1
Design team chosen and invited to the design (content harmonization) workshop. The design team typically includes content experts, members of the audience, the manager of the larger project that the E-E
program supports, researchers, producers, writers,
and artists. Representatives of government ministries
and funding agencies may also attend.
Design workshop planned and preparations completed.
Audience research completed.
Design workshop held; detailed audience profiles
compiled; design document drafted.
Review panel selected by project management. The
review panel should include a topic specialist, an E-E
drama specialist, an audience representative, and—
where necessary—a representative of the appropriate
government ministry. The review panel must have
attended the design workshop.
Review panel meeting held to outline responsibilities
and to review the design document.
Writer training (as needed) and scriptwriting auditions
completed; writer(s) chosen by the review panel and
the E-E manager.
Decisions made on how informal feedback to the programs will be encouraged and how it will be collected.
Design document completed.
Content Design
q
q
q
q
q
Contracts
q
q
q
q
Audience visited by writer(s) to help develop drama
and characters.
Regular times established for a meeting of the E-E
manager with the writer(s), editor, and director.
Scriptwriting schedule and completion dates posted.
Routine established for review of scripts by review
panel.
q
q
q
q
q
q
q
Proposals for promotion and support materials
discussed with and approved by E-E manager.
Promotion agency selected (if required); contract
prepared, approved, and signed. (Support materials
might be prepared in-house or by the same agency
that prepares the promotion materials. If not, a
separate contract will be needed for the developer
of support materials.)
Support materials pretested as necessary and revised.
All materials reviewed and approved by E-E manager.
Promotion materials delivered to broadcaster on time.
Support materials delivered to distribution points.
Training provided by project staff or trainers in use of
support materials, where necessary. For example, community members are taught to use listening guides.
Support materials such as information booklets are for
people who want to know more about the E-E topic. These
materials support the E-E program using other media.
Promotion and Support Materials
q
q
q
q
Writing
q
q
q
q
q
q
q
q
Date and place for pretesting set; audiences invited.
Story treatment (synopsis) and character profiles
completed by writer; checked by review panel.
Pretest episodes prepared; checked by review panel.
Original music (if desired) commissioned and written,
preferably in time to go with pretest episodes.
Pretesting programs recorded, preferably using the
actors selected to appear in the ongoing programs.
Pretest questions prepared by research team and
checked by review panel.
Pretests carried out (preferably with writer(s) present);
results compiled immediately; reviewed by E-E
manager, writer(s), and review panel.
Decisions made by review panel about changes to be
incorporated into future scripts.
Pretesting of Programs
q
Availability confirmed of the health care resources that
people will need to carry out the new behavior—for
example, access to clinics or contraceptives.
Budget line items established for production activities.1
Broadcast outlets researched.
Availability of local writers and actors checked.
All necessary staff hired.
Resources
Note: The major categories are in approximate time order, but some activities may be accomplished simultaneously.
q
q
q
q
q
q
q
q
Planning for monitoring and evaluation starts before the design
workshop and continues after the scriptwriting is under way.
2
Monitoring sites chosen.
Broadcasts and printing monitored to ensure fulfillment
of contracts.
Monitoring begun and ongoing.
Results of monitoring tabulated. Where necessary,
changes recommended by the E-E manager to the writer
for future episodes.
Arrangements made for summative evaluation.
Summative evaluation carried out.
Results of summative evaluation compiled, disseminated
to stakeholders, and fed back into project replanning.
Reports prepared and distributed describing the project,
results, and lessons learned.
Monitoring and Evaluation2
The following activities are carried out by the production
company but should be monitored by the E-E manager.
For TV:
q Shooting locations found and reserved, if necessary.
q Sets built, if necessary.
q Timeline for shooting and editing established; E-E
manager notified.
q All recording and other equipment on hand or ordered.
q Editing facilities hired, if needed.
q Message monitor appointed by the E-E manager to
attend all shoots.
q Director reviews and approves scripts.
q Actors guided by a trainer experienced in acting for
E-E drama.
q E-E manager attends several shoots and editing
sessions to ensure accuracy and quality.
q Finished episodes reviewed by E-E manager.
q Finished episodes delivered to broadcaster on time.
For Radio:
q Suitable recording studio found with appropriate equipment for recording several actors at once and preferably
for adding sound effects and music as recording is done
(called edit-free production).
q Producer selected.
q Actors trained, if necessary.
q Timeline for recording and editing established; the
message monitor attends all recording sessions.
q Review of each finished recording by E-E manager.
q Finished episodes delivered to broadcaster on time.
Production
Checklist for Producing an Entertainment-Education Drama
Bibliography
This bibliography includes only citations to the materials
most helpful in the preparation of this report. In the text,
reference numbers for these citations appear in italics.
The complete bibliography can be found on the INFO
Web site at: http://www.infoforhealth.org/inforeports/E-E/
bib/shtml. The links included in this report were up-todate as of publication.
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